Nursing Responsibilities
Nursing Responsibilities
Nursing Responsibilities
2NUR-1
5 Nursing responsibilities
Uterine Contraction
Latent Phase:
• Inform patient on the progress of her labor to lessen her anxiety and obtain her
trust and cooperation.
• Start monitoring progress of labor with the use of WHO partograph, 2-hour action
line.
• Encourage patient to be continually active to maximize the effect of uterine
contractions. Upright maternal positions are recommended if tolerated.
• Assist patient in assuming her position of comfort. For those who can’t stay
upright, left-side lying is recommended to avoid disruption in fetal oxygenation.
• Monitor maternal vital signs and fetal heart rate every 2 hours, or depending on
the doctor’s order.
Transition Phase:
Cervical Dilatation
6-ACOBA,Oliver C.
2NUR-1
• Instruct patient on quality pushing. The abdominal muscles must aid the involuntary
uterine contractions to deliver the baby out.
• Provide a quiet environment for the patient to concentrate on bearing down.
• Provide positive feedback as the patient pushes.
• Repeat doctor’s instructions. At this phase, the patient barely hears the conversation
around the room because all her energy and thoughts are being directed toward giving
birth.
• Take note of the time of delivery and proceed to initiate essential newborn care.
Delayed cord clamping is recommended.
• Assist in restrictive episiotomy for patients who had vaginal births.